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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 10/21/201 <br /> Submitted on: 10/21/2016 2:32:15PM CERS ID: 10707730 <br /> Submitted by: Joaquin Morales Email: chinastk209@gmaii.com Facility ID in CERS: incorrect <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 1 <br /> Owner ID OW0021892 <br /> Owner name MORALES-LOPEZ, JOAQUIN Joaquin Morales 111 <br /> Mailing address 902 S STANISLAUS ST 902 s stanislaus st 113 <br /> STOCKTON, CA 95206 Stockton, CA 95206 114, 115, 116 <br /> Work phone 2092715273 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0023592 <br /> Facility name MORALES AUTO REPAIR Morales Auto Repair 3 <br /> Site address 830 S CALIFORNIA ST 830 S California St 103 <br /> City STOCKTON Stockton 104 <br /> ZIP code 95206 95206 105 <br /> Facility phone 209-271-5273 ?2092715273✓ 102 <br /> Facility mailing address 902 S STANISLAUS ST 830 s. California st 108a <br /> STOCKTON, CA 95206 Stockton, CA 95206 108b, 108c.108d <br /> BILLING INFORMATION <br /> Contact name MORALES AUTO REPAIR Joaquin morales 140 <br /> Address 902 S STANISLAUS ST 902 s stanislaus st 143 <br /> STOCKTON, CA 95206 Stockton, CA 95206 144, 145, 146 <br /> Contact phone 209-271-5273 2092715273 -� 141 <br /> Contact email chinastk209@gmail.com 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this Indar year [ ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: i' Date: [ ��I�w <br /> Accounting: Reviewed by: Date: t0 ltb Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Program Element and Description Record ID Employee name Status Reactivated Inactivated <br /> 1920-HMBP-Common Materials PR0541192 ROBERT LOPEZ Active [ ] [ ] <br /> 2220-SM HW GEN<5 TONS/YR PR0541193 ONE VACANTI Active [ ] [ ] <br />